Bovard, Kelli Spillers

Bovard, Kelli Spillers is an individual health care provider with primary practice located at 8415 Goodwood Blvd Suite 104, Baton Rouge LA 70806-7851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bovard, Kelli Spillers can be contacted via phone (225) 925-9797.

Contact Information

Primary practice address
8415 Goodwood Blvd Suite 104 Baton Rouge LA 70806-7851
Fax: (225) 925-9787
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN103455 AP04901 Louisiana

Profile Details

NPI number 1316989650
LBN Legal business name Bovard, Kelli Spillers
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316989650 NPPES
Louisiana MEDICAID 1527467

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